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G T Little Md P.a.
Medical Specialty Clinic/Center in Charleston, South Carolina
NPI 1922323740

G T Little Md P.a. is a Medical Specialty Clinic/Center based in Charleston, SC and is specialized in Medical Specialty. G T Little Md P.a. practices in Charleston, SC. The NPI Number for G T Little Md P.a. is 1922323740 and holds a License No. 8051 (South Carolina).

The current practice location address for G T Little Md P.a. is 280 Rutledge Ave, Charleston, SC and can be reached out via phone at 843-722-6336 and via fax at 843-722-6302.

Location: 280 Rutledge Ave, Charleston, SC, 29403-5352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922323740
Provider Name
G T Little Md P.a.
Credential
Provider Entity Type
Organization
Address
280 Rutledge Ave, Charleston, SC, 29403-5352
Phone Number
843-722-6336
Fax Number
843-722-6302
Provider Enumeration Date
04/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
089511 05 SC
institution
Provider Business Practice Location Address Details
Address
280 Rutledge Ave
City
Charleston
State
South Carolina
Zip
29403-5352
Phone Number
843-722-6336
Fax Number
843-722-6302
person
Provider Business Mailing Address Details
Address
280 Rutledge Ave
City
Charleston
State
South Carolina
Zip
29403-5352
Phone Number
843-722-6336
Fax Number
843-722-6302
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
8051 (South Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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